Do Parents Expect Pediatricians to Pay Attention to Behavioral Health?

Do Parents Expect Pediatricians to Pay Attention to Behavioral Health?
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家长是否期望儿科医生关注行为健康?

DOI:
10.1177/0009922815569199
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发表时间:
2015
影响因子:
1.6
通讯作者:
Solomon,Barry
Solomon,Barry
中科院分区:
医学4区
文献类型:
--
作者:
Larson,JustineJulia;Lynch,Sean;Tarver,LeslieBishop;Mitchell,Laura;Frosch,Emily;Solomon,Barry

文献摘要

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背景和目的。本研究为质性分析,探讨照顾者对儿科医师行为健康照护之期望。在城市初级保健诊所看到的55名儿童的父母/照顾者参加了半结构化访谈。参与者是2至17岁儿童的父母或监护人,从儿科诊所转介到精神健康中心。访谈采用扎根理论方法进行分析。相关的主题如下:预期的护理范围,有效的初级保健提供者(PCP)关系的组成部分,PCP的行动,以及家长对PCP干预的反应。47%的护理人员认为PCP的作用仅限于身体健康护理; 53%的人认为PCP在身体和行为健康方面都有作用。当PCP询问或进行行为健康干预时,照顾者的反应绝大多数是积极的。照顾者并没有一贯的期望,但积极回应PCP从事行为健康问题。
Background and Objective. This study is a qualitative analysis examining caregivers’ expectations for pediatricians with regard to behavioral health care.Methods. Fifty-five parents/caregivers of children seen in an urban primary care clinic participated in semistructured interviews. Participants were parents or guardians of children between the ages of 2 and 17 years, referred from the pediatric clinic to the mental health center. Interviews were analyzed using grounded theory methods.Results. Pertinent themes were the following: expected range of care, components of an effective primary care provider (PCP) relationship, action of the PCP, and parent reaction to PCP intervention. Forty-seven percent of caregivers saw the PCP role as strictly for physical health care; 53% expected the PCP to have a role in both physical and behavioral health. Responses were overwhelmingly positive from caregivers when the PCP asked about or conducted a behavioral health intervention.Conclusion. Caregivers did not consistently expect but responded positively to PCPs engaging around behavioral health concerns.